Individual
MRS. BRENDA LONG CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISERED NURSE
Contact information
Practice address
4703 E INDIAN SCHOOL RD, PHOENIX, AZ 85018-5417
(480) 484-6311
Mailing address
4349 N 32ND WAY, PHOENIX, AZ 85018-3973
(602) 957-0824
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN 018014
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN018014
REGISTERED NURSE
AZ
Enumeration date
02/13/2007
Last updated
07/08/2007
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